1. Postnatal SNAP-II scores in neonatal intensive care unit patients: relationship to sepsis, necrotizing enterocolitis, and death.
- Author
-
Lim L and Rozycki HJ
- Subjects
- Female, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Male, Predictive Value of Tests, Prospective Studies, Risk Assessment, Survival Analysis, Enterocolitis, Necrotizing diagnosis, Sepsis diagnosis, Severity of Illness Index
- Abstract
Objective: To determine if daily SNAP-II scores (Score for Neonatal Acute Physiology) after the first day are useful in identifying neonatal intensive care unit (NICU) patients who die or develop sepsis or necrotizing enterocolitis., Study Design: Prospective data were collected on all 141 admissions to a university level III NICU over 4 months. SNAPPE-II scores were calculated from the day of admission and SNAP-II scores from subsequent hospital days. The scores were compared between those who developed events and those who did not., Results: At least 64% of the daily SNAP-II scores on the day of and the preceding 4 days from the event were 0. Admission SNAPPE-II scores correlated with length of stay (r = 0.44, p < 0.01) but patient average SNAP-II did not (r = 0.02, p > 0.5)., Conclusions: SNAP-II scores from after the first day of life did not accurately assess or predict neonatal morbidity and mortality.
- Published
- 2008
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